Avoid routine use of inhaled corticosteroids in upper respiratory tract illness in children.

Type of practice

Drugs

Topic Area

Paediatrics

Cough is the most common symptom in children attending primary care pediatricians. Inhaled corticosteroid therapy is a common practice in our country, as a first step therapy in upper respiratory tract illness and related cough, although no evidence of real benefit is proved. This practice, if used for long-term therapy, can cause adverse effects.

Sources

1. Osservatorio ARNO bambini. I profili assistenziali delle popolazioni in età pediatrica. Rapporto 2011.http://osservatorioarno.cineca.org
2. Effectiveness of Nebulized Beclomethasone in Preventing Viral Wheezing: An RCT. Pediatrics. 2014 Mar;133(3):e505-12. doi: 10.1542/peds.2013-2404. Epub 2014 Feb 17.
3. Anderson-James S, Marchant JM, Acworth JP, Turner C, Chang AB. Cochrane Database Syst Rev. 2013 Feb 28;2:CD008888. doi.1002/14651858.CD008888.pub2. Inhaled corticosteroids for subacute cough in children.

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Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.